Movsesian M A, Wray R B
Cardiology Division, University of Utah Medical Center, Salt Lake City 84108.
Br Heart J. 1989 Aug;62(2):154-6. doi: 10.1136/hrt.62.2.154.
A 29 year old woman had a myocardial infarction three weeks post partum. Coronary angiography was performed six days later. No abnormalities were seen initially, but re-injection of the left coronary artery resulted in a dissection that extended through the anterior descending and circumflex branches and a reinfarction. This case suggests that myocardial infarctions occurring in patients with angiographically normal coronary arteries may be caused by dissections that heal by the time of catheterisation.
一名29岁女性在产后三周发生心肌梗死。六天后进行了冠状动脉造影。最初未发现异常，但再次注射左冠状动脉导致夹层，该夹层延伸至前降支和回旋支，并再次发生梗死。该病例提示，冠状动脉造影正常的患者发生的心肌梗死可能是由在导管插入术时已愈合的夹层引起的。
